<div><br><br>
	<center><form action="<?php echo base_url();?>register" method="post">
		<label>Nume</label>
		<input type="text" name="nume" id="inputNume"  data-placement="right">

		<label>Prenume</label>
		<input type="text" name="prenume" id="inputPrenume"  data-placement="right">

		<label>Parola</label>
		<input type="password" name="parola" id="inputParola"  data-placement="right">

		<label>Data nasterii</label>
		<input type="text" name="data_n" id="inputVarsta"  data-placement="right">

		<label>Email</label>
		<input type="text" name="email" id="inputEmail"  data-placement="right">

		<br><br>
		<div align="center">
			<button type="submit" class="btn btn-large btn-primary controls" id="trimite">Trimite</button>
		</div>
	</form></center>
</div>